It is important to note that preauthorization is not required for providers to apply fluoride varnish to eligible Fallon MassHealth members under age 21. A preauthorization requirement was incorrectly attached to the fluoride varnish application, D1206, and has now been removed. The provider’s specific reimbursement is listed in his or her contractual arrangement with Fallon Health. For any questions on reimbursement, contact the Fallon Provider Relations Department at 1-866-275-3247, option 4.

Anonymous Compliance Hotline: Call our Compliance Hotline to report any concerns you may have regarding compliance, fraud, waste or abuse. You can call the Hotline 24 hours a day, seven days a week. All calls are anonymous and confidential.